Healthcare Provider Details

I. General information

NPI: 1720045693
Provider Name (Legal Business Name): LILY HUANG CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 MADISON ST 2ND FLOOR OB/GYN DEPARTMENT
NEW YORK NY
10002-7537
US

IV. Provider business mailing address

227 MADISON ST 2ND FLOOR OB/GYN DEPARTMENT
NEW YORK NY
10002-7537
US

V. Phone/Fax

Practice location:
  • Phone: 212-238-7268
  • Fax:
Mailing address:
  • Phone: 212-238-7268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number516811-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberF000961-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: